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Management of high and low risk malignant polyps: a population‐wide analysis

Aim The management of malignant polyps is a treatment dilemma in selecting between polypectomy and colorectal resection. To assist clinicians, guidelines have been developed by the Association of Coloproctology of Great Britain and Ireland (ACPGBI) to provide treatment recommendations. Methods This...

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Bibliographic Details
Published in:Colorectal disease 2023-01, Vol.25 (1), p.66-74
Main Authors: Zammit, Andrew P., Panahi, Seyed E., Brown, Ian, Hooper, John D., Clark, David A., Riddell, Andrew D.
Format: Article
Language:English
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Summary:Aim The management of malignant polyps is a treatment dilemma in selecting between polypectomy and colorectal resection. To assist clinicians, guidelines have been developed by the Association of Coloproctology of Great Britain and Ireland (ACPGBI) to provide treatment recommendations. Methods This study compared management strategy based on the ACPGBI risk categorization for malignant polyps. Univariable and multivariable statistical analysis was undertaken to assess the factors predicting management strategy. A population‐wide analysis was performed of 1646 malignant polyps and the factors that predicted their management strategy, from Queensland, Australia, from 2011 to 2019. Results Overall, 31.55% of patients with very low or low risk disease proceeded to resection. Of those with high or very high risk disease, 36.69% did not proceed to resection. In very low and low risk polyps, age (P = 0.003) and polyp location (P 
ISSN:1462-8910
1463-1318
DOI:10.1111/codi.16328